Provider Demographics
NPI:1811331150
Name:DELMARVA COUNSELING CENTER LLC
Entity type:Organization
Organization Name:DELMARVA COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:410-896-2149
Mailing Address - Street 1:28 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:MD
Mailing Address - Zip Code:21875-1601
Mailing Address - Country:US
Mailing Address - Phone:410-896-3995
Mailing Address - Fax:410-896-2825
Practice Address - Street 1:28 E STATE ST
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:MD
Practice Address - Zip Code:21875-1601
Practice Address - Country:US
Practice Address - Phone:410-896-3995
Practice Address - Fax:410-896-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty